Provider Demographics
NPI:1215077078
Name:GARFIELD, ELIZABETH ANN (DC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:GARFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 VINE PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0992
Mailing Address - Country:US
Mailing Address - Phone:303-818-3308
Mailing Address - Fax:303-449-5756
Practice Address - Street 1:5420 ARAPAHOE AVE
Practice Address - Street 2:UNIT E
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1249
Practice Address - Country:US
Practice Address - Phone:303-444-0192
Practice Address - Fax:303-442-1794
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3989111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU48246Medicare UPIN
COC801534Medicare PIN